Page 197 - 3. 2014 1st half New 26-05-21 No Table

Originally Entered by Details: 11 Mar 2014 11:19
Dr Gareth Jarvis Last Amended by Details: 17 Mar 2014 12:32
Dr Gareth Jarvis Validated by Details: (UNVALIDATED)
Significant: No Added to Risk
History: No
Contains Third Party Info: No Conceal
From Client: Not Concealed
104,
Enfield Triage Team
58-60 Silver Street
New Assessment
Dr Jarvis (ST5),
Mr Cordell,
Mr Cordell's mother Diagnosis
Adjustment reaction - predominantly anxiety
Medication: Nil
Plan:
1. If Mr Cordell would like to try medication Sertraline starting at 50 mg for one week
then increasing up to 100 mg would be a good choice.
2. Crisis plan agreed with Mr Cordell if he feels like acting on his suicidal thoughts (call
crisis team, or Samaritans or an ambulance).
3. Discuss with team at MDT for advice around sources of support
4. Mr Cordell to consider psychotherapy to address problems from the past.
Thank you for referring this 33-year-old man with low mood, suicidal thoughts and anxiety.
He attended an appointment at the Silver Street Clinic 11.03.14 with his mother Lorraine. Mr
Cordell explained to me that he is under a lot of stress at the moment due to a pending court
case. He told me he is accused of burglary, but that he had been wrongly accused and the
police had falsified items on his criminal record. He said that the record had led to the judge
placing restrictive bail conditions including being at home in his flat after 8 pm. This has
meant Mr Cordell has not been able to work for the last nine months (as he normally works as
a DJ and party host with most work going on beyond that time). The bail conditions have just
been extended for a further six months. Mr Cordell feels that these restrictive conditions have
made him feel "a prisoner” in his own home. Mr Cordell describes feeling anxious most days.
He says he has a poor appetite and has lost "3 stone" in weight over the last 9 months. He
says he often finds his thoughts are overactive and will not give him any rest. Mr Cordell says
he finds it difficult to get off to sleep, sometimes not until 5am, but then will stay in bed until
midday. His mother says she has noticed him become "more aggressive" and trying to
isolate himself from others. Mr Cordell says he frequently has suicidal thoughts and
that he has been researching ways to kill himself "on YouTube". These have included
"poisoning, over-dose, hanging". He said that he has tried to kill himself by hanging in
the past. He says he has all the materials at home ready to act on his thoughts and has
done so for the last nine months. He says what stops him from acting on these thoughts
is a desire for justice, wanting to be proved innocent at trial. He says the police are very
worried about him, saying "they know they have messed up and now I am on their most
vulnerable list, I call 101 regularly, I had police officers out to my flat twice last week to
check on my safety".
Mr Cordell says he feels angry with the police, that he has been victimised by them because
of the colour of his skin and that he will continue to be victimised by them.
Past Psychiatric History